"Census Form": (Complete this form if you would like a GROUP quote for health insurance.)
Adobe Acrobat Format
or
Microsoft Excel Format
"Quote Request": (Complete this form if you would like an INDIVIDUAL or FAMILY quote for health insurance)
"Healthy Lifestyle Workshops": (Available to agencies, corporations, or small businesses)
Microsoft Word Format
"Applications for Chamber of Commerce Association Plan":
(Available to Business Owners who are members of Participating Chambers of Commerce)
(on CHCA website)
"IRS Publication 969: Health Savings Accounts (HSAs)": (Available to self-employed and small businesses)
HTML Format
(on IRS website)
"IRS Publication 502: Medical and Dental Expenses":
Contact Us with any questions you may have regarding the use of our forms: Phone: 708-383-9209 Fax: 708-383-4909 Email: helpme@leeinc.net
